Individual
WALDEMAR TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3530 HOUMA BLVD STE 203, METAIRIE, LA 70006-4203
(504) 887-7660
(504) 887-9098
Mailing address
3530 HOUMA BLVD STE 203, METAIRIE, LA 70006-4203
(504) 887-7660
(504) 887-9098
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD.207519
LA
207WX0107X
Retina Specialist (Ophthalmology) Physician
L2703
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD.207519
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1E0900
MEDICARE PROVIDER #
LA
05
—
2382021
—
LA
Enumeration date
09/16/2005
Last updated
10/02/2020
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